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There are many recent studies on the efficacy of flouride, both mouth rinse and paste from the last two decades, as well as studies on the efficacy of essential oil rinses (Listerine) and stabilized chlorine (Closys).

There have been developments in flouride compositions as well, such as Stannus flouride, which has been fully stabilized and no longer stains the teeth like it once did. It brings with it advantages over the older Sodium Flouride, such as better resilience against low pH, reduction of temperature sensitivity from its ability to fill in the microtubules of the teeth, and an antibacterial effect from being stabilized to zinc, which remains on the teeth and kills caries causing bacteria for many hours after use.

I highly disagree that science is not advancing regarding dental solutions, we are very much not playing with voodoo. I would suggest instead that advancements in dental technology and science is not pushed harder due to financial interests, as wide adoption would drastically reduce the income of dentists. It's capitalism, basically.

To give a highly encapsulated version of an ideal dental regimen based on modern science, it would be thus:

1. Begin with a small rinse of Closys, which is effective at penetrating biofilm in the mouth, and raises the pH of the mouth to protect the teeth from abrasion for the next step (teeth enamel becomes softened in an acidic environment).
2. Brush with a Stannus flouride toothpaste. The action of brushing itself even without toothpaste is beneficial, as it mechanically disturbs the colonies of bacteria on the teeth, which mouthwash alone cannot achieve. Leave the toothpaste on for a couple minutes if possible.
3. Without rinsing with water, spit out the remaining toothpaste and begin a rinse of classic Listerine (or off brand). The essential oils will finish off all the bacteria that the brushing dislodged, as well as get between the teeth to act as a liquid flossing.
4. Finish, again without rinsing with water, with a standard ACT mouth rinse (or off-brand).

This last step is is important for a few reasons.

• First, it is a high pH, and will neutralize the acidic nature of the Listerine.
• Second, it rinses out the alcohol of the Listerine, which if left in would have a detrimental effect on saliva production and dry mouth, which prevents the teeth from remineralizing from the phosphorous and minerals in your saliva.
• Third, it introduces yet another source of flouride after the acidity of the Listerine etches the enamel, which strangely increases the absorption of the flouride (flouride is most effective in an acidic environment, but that can only be taken advantage of with a liquid, as the brush would be harmful in that environment).
• Fourth, the ACT type rinse contains another antibacterial (cetylpyridinium chloride) that studies have shown stick to the enamel, killing yet more caries creating bacteria.

If this protocol is followed diligently twice a day, you will effectively entirely prevent caries causing bacteria from being able to proliferate enough to actually cause plaque buildup whatsoever, and you will likely never get another cavity for the rest of your life. Especially if combined with xylitol mints after meals, which caries causing bacteria uptake thinking it's a sugar they can digest and use as fuel, but in fact cannot be, causing them to die. It also promotes saliva production, which increases pH and flushes the teeth with minerals.

Lastly, the reason we treat water with flouride is for the sake of those unable to afford access to, or proper knowledge of, flouride containing dental products as described above. If everyone did the above protocol, there would be no need to fluoridate water, but as that is unlikely, water fluoridation is a compromise.